Trial Outcomes & Findings for Efficacy and Safety of QVA149 in Patients With Chronic Obstructive Pulmonary Disease (COPD) (NCT NCT00570778)

NCT ID: NCT00570778

Last Updated: 2018-07-26

Results Overview

Spirometry testing was performed in accordance with American Thoracic Society standards. Trough FEV1 was defined as the average of the 23 hour 15 minute and 23 hour 45 minute measurements post dosing. Baseline FEV1 is the mean of the 45 minute and 15 minute pre-dose FEV1 values at day 1 of each period. Least square means are based on the Analysis of Covariance Trough FEV1 at day 7 = sequence effect + patient(sequence) + period effect + treatment effect + (period) baseline FEV1 + error.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

154 participants

Primary outcome timeframe

Baseline, Day 7

Results posted on

2018-07-26

Participant Flow

This was 4 arm crossover study. There was a 7 day washout period between each treatment period. 154 patients were randomized, 153 participants received study drug. 5 patients were excluded from the Modified Intent-to-treat population (MITT). 4 patients for protocol violations and 1 patient was randomized but did not receive study drug.

Participant milestones

Participant milestones
Measure
A: Ind 300 μg- Ind 600 μg- Placebo- Ind/Glyc 300/50 μg
Treatment Period 1: One indacaterol (Ind) 300 μg capsule and one placebo capsule inhaled once daily via a single dose dry powder inhaler (SDDPI) for 7 days. Treatment Period 2: Two indacaterol 300 μg capsules inhaled once daily via a SDDPI for 7 days. Treatment Period 3: Two placebo capsules inhaled once daily via a SDDPI for 7 days. Treatment Period 4: One indacaterol/glycopyrrolate (Ind/Glyc) 300/50 μg and one placebo capsule inhaled once daily via a SDDPI for 7 days.
B: Ind 600 μg- Placebo- Ind/Glyc 300/50 μg- Ind 300 μg
Treatment Period 1: Two indacaterol 300 μg capsules inhaled once daily via a SDDPI for 7 days. Treatment Period 2: Two placebo capsules inhaled once daily via a SDDPI for 7 days. Treatment Period 3: One indacaterol/glycopyrrolate (Ind/Glyc) 300/50 μg and one placebo capsule inhaled once daily via a SDDPI for 7 days. Treatment Period 4: One indacaterol (Ind) 300 μg capsule and one placebo capsule inhaled once daily via a SDDPI for 7 days.
C: Ind/Glyc 300/50 μg- Ind 300 μg- Ind 600 μg- Placebo
Treatment Period 1: One indacaterol/glycopyrrolate (Ind/Glyc) 300/50 μg and one placebo capsule inhaled once daily via a SDDPI for 7 days. Treatment Period 2: One indacaterol (Ind) 300 μg capsule and one placebo capsule inhaled once daily via a SDDPI for 7 days. Treatment Period 3: Two indacaterol 300 μg capsules inhaled once daily via a SDDPI for 7 days. Treatment Period 4: Two placebo capsules inhaled once daily via a SDDPI for 7 days.
D: Placebo- Ind/Glyc 300/50 μg- Ind 300 μg- Ind 600 μg
Treatment Period 1: Two placebo capsules inhaled once daily via a SDDPI for 7 days. Treatment Period 2: One indacaterol/glycopyrrolate (Ind/Glyc) 300/50 μg and one placebo capsule inhaled once daily via a SDDPI for 7 days. Treatment Period 3: One indacaterol (Ind) 300 μg capsule and one placebo capsule inhaled once daily via a SDDPI for 7 days. Treatment Period 4: Two indacaterol 300 μg capsules inhaled once daily via a SDDPI for 7 days.
Overall Study
STARTED
41
38
37
38
Overall Study
Safety Population: Received Study Drug
41
38
36
38
Overall Study
Modified Intent-to-treat Population
40
37
35
37
Overall Study
COMPLETED
37
34
30
34
Overall Study
NOT COMPLETED
4
4
7
4

Reasons for withdrawal

Reasons for withdrawal
Measure
A: Ind 300 μg- Ind 600 μg- Placebo- Ind/Glyc 300/50 μg
Treatment Period 1: One indacaterol (Ind) 300 μg capsule and one placebo capsule inhaled once daily via a single dose dry powder inhaler (SDDPI) for 7 days. Treatment Period 2: Two indacaterol 300 μg capsules inhaled once daily via a SDDPI for 7 days. Treatment Period 3: Two placebo capsules inhaled once daily via a SDDPI for 7 days. Treatment Period 4: One indacaterol/glycopyrrolate (Ind/Glyc) 300/50 μg and one placebo capsule inhaled once daily via a SDDPI for 7 days.
B: Ind 600 μg- Placebo- Ind/Glyc 300/50 μg- Ind 300 μg
Treatment Period 1: Two indacaterol 300 μg capsules inhaled once daily via a SDDPI for 7 days. Treatment Period 2: Two placebo capsules inhaled once daily via a SDDPI for 7 days. Treatment Period 3: One indacaterol/glycopyrrolate (Ind/Glyc) 300/50 μg and one placebo capsule inhaled once daily via a SDDPI for 7 days. Treatment Period 4: One indacaterol (Ind) 300 μg capsule and one placebo capsule inhaled once daily via a SDDPI for 7 days.
C: Ind/Glyc 300/50 μg- Ind 300 μg- Ind 600 μg- Placebo
Treatment Period 1: One indacaterol/glycopyrrolate (Ind/Glyc) 300/50 μg and one placebo capsule inhaled once daily via a SDDPI for 7 days. Treatment Period 2: One indacaterol (Ind) 300 μg capsule and one placebo capsule inhaled once daily via a SDDPI for 7 days. Treatment Period 3: Two indacaterol 300 μg capsules inhaled once daily via a SDDPI for 7 days. Treatment Period 4: Two placebo capsules inhaled once daily via a SDDPI for 7 days.
D: Placebo- Ind/Glyc 300/50 μg- Ind 300 μg- Ind 600 μg
Treatment Period 1: Two placebo capsules inhaled once daily via a SDDPI for 7 days. Treatment Period 2: One indacaterol/glycopyrrolate (Ind/Glyc) 300/50 μg and one placebo capsule inhaled once daily via a SDDPI for 7 days. Treatment Period 3: One indacaterol (Ind) 300 μg capsule and one placebo capsule inhaled once daily via a SDDPI for 7 days. Treatment Period 4: Two indacaterol 300 μg capsules inhaled once daily via a SDDPI for 7 days.
Overall Study
Protocol deviation
2
1
2
2
Overall Study
Adverse Event
0
1
4
1
Overall Study
Subject withdrew consent
0
1
0
1
Overall Study
Abnormal test procedure
1
0
0
0
Overall Study
Unsatisfactory therapeutic effect
1
0
0
0
Overall Study
Lost to Follow-up
0
0
1
0
Overall Study
Subject no longer requires study drug
0
1
0
0

Baseline Characteristics

Efficacy and Safety of QVA149 in Patients With Chronic Obstructive Pulmonary Disease (COPD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Population
n=153 Participants
Participants were randomized and received the following 4 treatments: 1-Two placebo capsules inhaled once daily via a SDDPI for 7 days, 2-One indacaterol/glycopyrrolate (Ind/Glyc) 300/50 μg and one placebo capsule inhaled once daily via a SDDPI for 7 days, 3-One Indacaterol (Ind) 300 μg capsule and one placebo capsule inhaled once daily via a SDDPI for 7 days and 4-Two Indacaterol 300 μg capsules inhaled once daily via a SDDPI for 7 days. There was a 7 day washout period between the four treatment periods.
Age, Continuous
61.7 years
STANDARD_DEVIATION 8.5 • n=99 Participants
Sex: Female, Male
Female
59 Participants
n=99 Participants
Sex: Female, Male
Male
94 Participants
n=99 Participants

PRIMARY outcome

Timeframe: Baseline, Day 7

Population: Participants from the Modified Intent-to-treat population (includes all participants who received study drug) with data available for analysis.

Spirometry testing was performed in accordance with American Thoracic Society standards. Trough FEV1 was defined as the average of the 23 hour 15 minute and 23 hour 45 minute measurements post dosing. Baseline FEV1 is the mean of the 45 minute and 15 minute pre-dose FEV1 values at day 1 of each period. Least square means are based on the Analysis of Covariance Trough FEV1 at day 7 = sequence effect + patient(sequence) + period effect + treatment effect + (period) baseline FEV1 + error.

Outcome measures

Outcome measures
Measure
Indacaterol/Glycopyrrolate 300/50 μg
n=140 Participants
One indacaterol/glycopyrrolate 300/50 μg capsule + 1 placebo capsule inhaled once daily via a single dose dry powder inhaler for 7 days.
Indacaterol 300 μg
n=138 Participants
One capsule indacaterol 300 μg + one placebo capsule inhaled once daily via a single dose dry powder inhaler for 7 days.
Indacaterol 600 μg
n=140 Participants
Two indacaterol 300 μg capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
Placebo
n=136 Participants
Two placebo capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Day 7
1.512 Liters
Standard Error 0.0143
1.389 Liters
Standard Error 0.0144
1.395 Liters
Standard Error 0.0143
1.286 Liters
Standard Error 0.0145

SECONDARY outcome

Timeframe: Day 7

Population: Participants from the Modified Intent-to-treat population (includes all participants who received study drug) with data available for analysis.

Spirometry testing was performed in accordance with American Thoracic Society standards. FEV1 was assessed at 5, 15, 30 minutes, 1, 2, 3, 4, 5, 6, 8, 10 and 12 hours post dose on Day 7. Standardized (with respect to time) AUC (5 minutes-12 hours) for FEV1 on day 7 was calculated using the trapezoidal rule. Least square means are based on the Analysis of Covariance: FEV1 AUC = sequence effect + patient (sequence) + period + treatment + baseline FEV1 (period) + error.

Outcome measures

Outcome measures
Measure
Indacaterol/Glycopyrrolate 300/50 μg
n=142 Participants
One indacaterol/glycopyrrolate 300/50 μg capsule + 1 placebo capsule inhaled once daily via a single dose dry powder inhaler for 7 days.
Indacaterol 300 μg
n=140 Participants
One capsule indacaterol 300 μg + one placebo capsule inhaled once daily via a single dose dry powder inhaler for 7 days.
Indacaterol 600 μg
n=142 Participants
Two indacaterol 300 μg capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
Placebo
n=140 Participants
Two placebo capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
Standardized Forced Expiratory Volume in 1 Second (FEV1) Area Under Curve (AUC) 5 Minutes-12 Hours at Day 7
1.610 Liters
Standard Error 0.0180
1.473 Liters
Standard Error 0.0181
1.457 Liters
Standard Error 0.0180
1.317 Liters
Standard Error 0.0185

SECONDARY outcome

Timeframe: 47 days

Population: Safety population includes all participants who received at least 1 dose of study drug.

Additional information about adverse events can be found in the Adverse Event Section.

Outcome measures

Outcome measures
Measure
Indacaterol/Glycopyrrolate 300/50 μg
n=142 Participants
One indacaterol/glycopyrrolate 300/50 μg capsule + 1 placebo capsule inhaled once daily via a single dose dry powder inhaler for 7 days.
Indacaterol 300 μg
n=141 Participants
One capsule indacaterol 300 μg + one placebo capsule inhaled once daily via a single dose dry powder inhaler for 7 days.
Indacaterol 600 μg
n=141 Participants
Two indacaterol 300 μg capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
Placebo
n=143 Participants
Two placebo capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
Number of Participants With Adverse Events, Serious Adverse Events and Discontinuations Due to Adverse Events
Serious Adverse Events
2 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events, Serious Adverse Events and Discontinuations Due to Adverse Events
Adverse Events
39 Participants
31 Participants
37 Participants
31 Participants
Number of Participants With Adverse Events, Serious Adverse Events and Discontinuations Due to Adverse Events
Discontinuations Due to Adverse Events
3 Participants
0 Participants
2 Participants
0 Participants

Adverse Events

Indacaterol/Glycopyrrolate 300/50 μg

Serious events: 2 serious events
Other events: 12 other events
Deaths: 0 deaths

Indacaterol 300 μg

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Indacaterol 600 μg

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Indacaterol/Glycopyrrolate 300/50 μg
n=142 participants at risk
One indacaterol/glycopyrrolate 300 μg /50 μg capsule + 1 placebo capsule inhaled once daily via a single dose dry powder inhaler for 7 days.
Indacaterol 300 μg
n=141 participants at risk
One capsule indacaterol 300 μg + one placebo capsule inhaled once daily via a single dose dry powder inhaler for 7 days.
Indacaterol 600 μg
n=141 participants at risk
Two indacaterol 300 μg capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
Placebo
n=143 participants at risk
Two placebo capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
Injury, poisoning and procedural complications
Fall
0.70%
1/142
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
0.00%
0/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
0.00%
0/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
0.00%
0/143
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
Injury, poisoning and procedural complications
Humerus fracture
0.70%
1/142
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
0.00%
0/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
0.00%
0/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
0.00%
0/143
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.70%
1/142
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
0.00%
0/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
0.00%
0/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
0.00%
0/143
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.

Other adverse events

Other adverse events
Measure
Indacaterol/Glycopyrrolate 300/50 μg
n=142 participants at risk
One indacaterol/glycopyrrolate 300 μg /50 μg capsule + 1 placebo capsule inhaled once daily via a single dose dry powder inhaler for 7 days.
Indacaterol 300 μg
n=141 participants at risk
One capsule indacaterol 300 μg + one placebo capsule inhaled once daily via a single dose dry powder inhaler for 7 days.
Indacaterol 600 μg
n=141 participants at risk
Two indacaterol 300 μg capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
Placebo
n=143 participants at risk
Two placebo capsules inhaled once daily via a single dose dry powder inhaler for 7 days.
Gastrointestinal disorders
Diarrhoea
0.00%
0/142
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
2.1%
3/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
1.4%
2/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
1.4%
2/143
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
Infections and infestations
Nasopharyngitis
0.70%
1/142
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
4.3%
6/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
1.4%
2/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
3.5%
5/143
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
Nervous system disorders
Headache
4.9%
7/142
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
1.4%
2/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
4.3%
6/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
1.4%
2/143
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
Respiratory, thoracic and mediastinal disorders
Cough
2.8%
4/142
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
0.71%
1/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
2.1%
3/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
1.4%
2/143
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.4%
2/142
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
1.4%
2/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
2.8%
4/141
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.
2.8%
4/143
The number of patients in the safety population for the QAB 600 μg treatment is (N=141) compared to the safety population (N=142). One patient was mistakenly dosed with QAB149 600 μg in 2 out of 4 periods. For AEs, this patient was counted once, not twice, therefore the difference in one patient.

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER